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Complete the following and click 'Submit' to register for the 2023 FHCF Participating Insurers Workshop.
*
1.
Registrant Information:
(Required.)
First Name
Last Name
Title
Company
Email Address
Office Phone ###-###-####
Cell Phone ###-###-####
2.
If the registrant is not a direct employee of an insurance company, please list insurance company affiliations:
Affiliated Company(ies):
*
3.
How should the registrant's name and company name appear on his/her name tag?
(Required.)
First & Last Name
Company Name
*
4.
Please select the day(s) the registrant plans to attend:
(Required.)
June 13, 2023 9:00 AM to 4:30 PM
June 14, 2023 9:00 AM to 12:00 PM
5.
If you are completing this registration for someone other than yourself and would like to receive a copy of the confirmation email, please enter your email address in the box below.
When you click the 'Submit' button below, your registration is complete. We look forward to seeing you at the workshop!
